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A. Company Details
Registered Company Name
Registration|Certificate No.
KRA PIN Number
Industry / Sector
Year Established
Number of Employees
Company Email Address
Company Phone Number
Company Website (Optional)
Physical Address
Postal Address
County of Operation
Select County
Mombasa
Kwale
Kilifi
Tana River
Lamu
Taita Taveta
Garissa
Wajir
Mandera
Marsabit
Isiolo
Meru
Tharaka Nithi
Embu
Kitui
Machakos
Makueni
Nyandarua
Nyeri
Kirinyaga
Murang'a
Kiambu
Turkana
West Pokot
Samburu
Trans Nzoia
Uasin Gishu
Elgeyo Marakwet
Nandi
Baringo
Laikipia
Nakuru
Narok
Kajiado
Kericho
Bomet
Kakamega
Vihiga
Bungoma
Busia
Siaya
Kisumu
Homa Bay
Migori
Kisii
Nyamira
Nairobi
Brief Description of the Company
Main Services or Products Offered
Does the company currently employ NYS Alumni?
Select
Yes
No
B. Director / Company Representative Details
Full Name
National ID / Passport No.
Position in the Company
Phone Number
Email Address
Gender
Select
Male
Female
Are you an authorized representative of the company?
Select
Yes
No
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